Provider Demographics
NPI:1962268110
Name:ROWAN, RHONDA D
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:D
Last Name:ROWAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 GREENWAY CENTER DR STE T4
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3527
Mailing Address - Country:US
Mailing Address - Phone:301-345-2881
Mailing Address - Fax:
Practice Address - Street 1:7525 GREENWAY CENTER DR STE T4
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3527
Practice Address - Country:US
Practice Address - Phone:301-345-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7590124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist